Pharyngo-laryngeal examination with the narrow band imaging technology: early experience

Irjala, Heikki; Matar, Nayla; Remacle, Marc; Georges, Lawson

doi:10.1007/s00405-011-1516-z

Cited by 33 publications

(42 citation statements)

References 18 publications

(20 reference statements)

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“…In the literature, there exist only a few publications on the exclusive use of NBI in laryngology . However, several studies assessed the value of NBI in the head and neck also including the larynx . In a prospective study, Ni et al investigated a total of 104 laryngeal lesions in 85 patients.…”

Section: Discussionmentioning

confidence: 99%

Value of narrow band imaging in the early diagnosis of laryngeal cancer

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Value of narrow band imaging in the early diagnosis of laryngeal cancer

et al. 2015

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“…Currently, available evidence indicates that NBI may be a promising approach in the diagnosis of laryngeal cancer. It allows to visualize the structure of the intraepithelial blood vasculature which cannot be seen with conventional white light (132). In fact, the emitted light has less penetration and less scattering and is highly absorbed in hemoglobin, thus enhancing the image resolution.…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

“…In the literature, there exist only a few publications on the exclusive use of NBI in laryngology (135)(136)(137)(138)(139)(140)(141)(142). However, several studies assessed the value of NBI in the head and neck also including the larynx (132,137,(143)(144)(145)(146)(147)(148). NBI has shown in the larynx, over last years, improved sensitivity 61-91% and specificity 87-92% (146,149) but false positives and false negatives have been reported, especially in the larynx, and increase with a short learning curve.…”

Section: Narrow Band Imaging (Nbi)mentioning

confidence: 99%

Laryngeal preneoplastic lesions and cancer: challenging diagnosis. Qualitative literature review and meta-analysis.

Mannelli

Cecconi

Gallo

2016

Critical Reviews in Oncology/Hematology

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Abstract.Background: Multi-step cancerogenesis guides laryngeal cancer onset and it includes a wide variety of pre-cancerous lesions that are macroscopically challenging to identify and distinguish from initial cancerous foci. Since the treatment of laryngeal cancer and its precursor lesions has a great impact on important laryngeal basic functions, early detection and preoperative assessment are important for a curative and function-preserving therapy. Nowadays, despite the high number of more advanced diagnostic techniques and methods, unfortunately, it is not uncommon for different clinicians to use different nomenclature or to identify different stage for the same laryngeal lesion. From these observations, it is obvious that an instrument offering the possibility to detect precancerous lesions, early cancerous lesions, and satellite foci or second primaries would be the key to improving management and outcome in laryngeal patients. Object. Different modalities of diagnostic techniques of laryngeal lesions exist. Rather than difference between benign and obvious malignant diseases, more difficult is to detect the presence of precancerous epithelial alterations. Not all tests achieve the same diagnostic accuracy, hence this meta-analysis of literature aimed to synthesize the validity of each single diagnostic technique in identifying and staging laryngeal disease. Methods: A systematic review of literature was led searching for articles mentioning the following terms including their various combinations to maximize the yield: larynx, laryngeal precancerous lesions, laryngeal cancer, white light (WL) endoscopy, stroboscopy, contact endoscopy (CE), autofluorescence (AF), ultrasound (US), narrow band imaging (NBI), computed axial tomography (CAT), magnetic resonance imaging (MRI), positron emission tomography (PET), CAT/PET. Then, a quantitative analysis was carried on for paper published after 2005 onward, reporting a minumun series of 10 patients each study, declaring sensitivity and specificity of each diagnostic system. Results: The search identified 7215 publications, of which 3616 published after 2005, with a final results of a total of 214 articles stratified and included by our selection criteria. 42 out of 214 articles were selected for quantitative synthesis. 25 out of 41 studies had a quality score of ≥ 6 (good), 16 presented a score between 4 and 5 (fair). While objections can be raised about the pooling of different diagnostic procedures under the same group and the high level of heterogeneity in the meta-analyses, the inclusion of over 4400 laryngeal lesions makes the results fairly robust. Conclusions: A comprehensive overview of the most recent advances in laryngeal imaging technology combined with all of the information needed to interpret findings and successfully manage patients with voice disorders can be found herein. With these data, clinicians can riskstratify patients and select proper examination modalities in order to provide appropriate care. Moreover, study limitations, together with p...

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“…It is obvious that a diagnostic tool for early recognition of malignant lesions is needed for optimal treatment result. The WL HD TV and NBI modality in the head and neck field is rapidly gaining interest in the diagnostics of early and simultaneous malignancies, but published reports have been conducted mainly in specific highly experienced centers …”

Section: Discussionmentioning

confidence: 99%